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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I want to know what is stroke ?

My aunty has devolped sudden loos of speech, and weakness of one arm...she was admitted...in ICU..there was no history of accident also..the doctor said she had develpoed stroke...i want to know what is stroke ? will it come ? Is there any cure ?
Tue, 16 Apr 2013
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Physical Therapist or Physiotherapist 's  Response
hi,

thanks for writing to HCM,



stroke by definition is loss of some localised part of brain due to ischaemia (lack of blood into brain cells)or haemorraghe (leakage of blood from the brain arteries or vessels thus blood could not reach upto brain cells).

common factors that can develop into stroke are commonly - high bp, high lipids (cholestrol levels), smoking, tobacco chewing etc.

features that can be seen in the patient are hemiparesis (sudden weakness or loss of function of half side of the body) or some times only one arm or leg.

loss of sensation on that part (unable to feel touch and hot or cold)

there may be involvement of speech, vision,memory, and face paralysis also.

If the symptoms appear and fortunately return to almost normal within 24 hours then it is called a transient ishchaemic attack ...TIA (this literally means temporary loss of blood to brain cells).

but if the symptoms stay for more than 24 hours and doesn't improve it is a STROKE.

In both cases of TIA & Stroke prompt treatment is required to lessen the impact on brain cells.



In the treatment of STROKE a multidisciplinary approach is required....this means that the patient must be treated by a no. of specialist like neurologist, neurosurgeon, physical therapist, speech therapist, opthalmologist, occupational therapist, nursing care etc.



the recovery of patient will definitely depend on the extent of brain involvement and other associated features age of patient, any other medical problem.



a multifaceted treatment can bring the patient back to normal life. the family and the caregiver should be extremely patient, supportive, and caring towards the patient and should trust the doctors treating the patient.


i would also like to mention here after reading the comments below that heat stroke is entirely different from this stroke.
and aging is not a cause of stroke, it just makes few individuals more prone to get stroke.

i hope this helps
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General & Family Physician Dr. Saeed Reza Sarir's  Response
stroke is a sudden onset of focal neurologic deficit( like what you said weakness of one side of the body called hemiparesis or loss of speech called aphasia or other neurological sign) that lasts at least 24 hours.if it resolves within 24 hours it is called TIA or transient ischemic attack.it can be caused by hemorrhage or occlusion of blood vessels in brain that leads to deprivation of brain from blood finally leads to infarction of brain cells that is irreversible if does not treated acutely.it is an emergency issue and if ischemic should be treated by rtPA less than 3 hours of initiation of stroke.if hemorrhagic it is an indication for surgery.always remember that time is brain it means that the more you waste the time the more you lose your brain cells.2 million neurons every minute!
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  User's Response
Tulika's  Response
My father had highblood pressure, and was taking medications. One he stopped medications for 2 months, After few days he was unable to move his ands and legs, we took him to the doctor the doctor said that he has stroke, because of high blood pressure. He also told it is not good to stop any medications with out the doctors consent
  User's Response
corjan's  Response
hi guys, good topic here, my friends dad had stroke recently, can anyone tell me the cause of stroke?
  User's Response
sukhneer's  Response
Is heat stroke and sun stroke the same as this stroke, sorry if wrong but I am curious you know
  User's Response
saher's  Response
stroke is nothing but paralysis man, it comes because of old age. we cannot avoid it as old age cannot be avoided.
  Anonymous's Response
Anonymous's  Response

Stroke can develop in people with cholesterol, and blood related problems. If it is mild, it gets reversed also with proper and timely treatment.

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